Lakeway Pharmacy LLC

NPI #1275021818 in Bee Cave, Texas

Provider Information

NPI Number
1275021818
Entity Type
Organization
Organization Name
Lakeway Pharmacy LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Apr 30, 2018
Last Updated
Apr 30, 2018

Practice Location

Address
3500 RANCH ROAD 620 S
Address 2
SUITE A-100
State
Texas
ZIP Code
78738-7153
Phone
(512) 502-5161

Authorized Official

Name
IHEANACHO EZIRIM
Title
PHARMACIST IN CHARGE
Phone
(409) 504-2962

Specialties & Taxonomy Codes

Specialty
Pharmacy - Compounding PharmacyCompounding Pharmacy
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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